Active NPI
SH Physical Therapy PC
- Physical Therapist
- Bayside, NY
National Provider Identifier
1124800552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SH PHYSICAL THERAPY PC
- Practice address
- 4324 215TH St FL 1
Bayside, NY 11361-2973 - Phone
- (646) 691-6447
- Fax
- (516) 985-7850
- NPI assigned
- Oct 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seungyoung Han
- Title
- Employer
- Phone
- (646) 691-6447
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4324 215TH St FL 1
Bayside, NY 11361-2973
Mailing address
4324 215TH St FL 1
Bayside, NY 11361-2973
Phone (516) 537-9639
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1124800552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 215TH ST FL 1",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612973",
"telephone_number": "516-537-9639",
"fax_number": "516-985-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4324 215TH ST FL 1",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612973",
"telephone_number": "646-691-6447",
"fax_number": "516-985-7850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SH PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-19",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "HAN",
"authorized_official_first_name": "SEUNGYOUNG",
"authorized_official_title_or_position": "EMPLOYER",
"authorized_official_telephone_number": "646-691-6447"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.